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| Physicians performing - hysterectomey |
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| Hysterectomy ... |
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| There are several types of hysterectomies and many different ways to do hysterectomy surgery. The type of surgery you have depends on three main things: the reason for the surgery, the size of the uterus and its position in the belly, and your overall health. |
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Types of hysterectomies |
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Complete or total - Removes the cervix as well as the uterus. (This is the most common type of hysterectomy.) |
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Partial or subtotal - Removes the upper part of the uterus and leaves the cervix in place. |
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Radical - Removes the uterus, the cervix, the upper part of the vagina, and supporting tissues. (This is done in some cases of cancer.) |
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| Different ways to do hysterectomy surgery |
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Abdominal hysterectomy.
In this type, the doctor makes a cut in the belly, either across the bikini line or straight up and down.
The doctor takes out the uterus and the cervix. This type is most often done when cancer might be present
or when severe endometriosis, a lot of scar tissue, or a very large uterus makes the uterus hard to
remove. |
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Vaginal hysterectomy. With this type, the doctor
takes out the uterus through the vagina. He or she makes a small cut in the vagina instead of the belly.
Your doctor will not use this method when there is a chance that cancer may be in the uterus, cervix,
or ovaries. Doctors use this type of surgery only in cases where the uterus is small and easy to remove. |
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Laparoscopically assisted vaginal hysterectomy (LAVH). To do this
surgery, the doctor puts a lighted tube through small cuts in your belly. The doctor can see your organs
with the scope and can insert surgical tools to cut the tissue that holds your uterus in place. Then
he or she can remove the uterus through your vagina. |
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Laparoscopic supracervical hysterectomy (LSH). With LSH, the doctor
inserts the scope and tools through small cuts in your belly. He or she takes out the uterus in small
pieces and leaves the cervix in place. This surgery is done only if you don't have cervical cancer |
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Total laparoscopic hysterectomy (TLH). In this type, the doctor
inserts a scope and tools through several small cuts in the belly. The doctor takes out the uterus and the
cervix in small pieces through one of the cuts. |
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| Recovery time |
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Feeling better after surgery takes time and most women are in the hospital 1 or 2 days after
the surgery. Some women stay in the hospital up to 4 days.
Upon arriving home, make sure you move around, but also be sure you don't do too much. You can walk
around the house and up and down stairs, but take it slow. During the first 2 weeks, it’s important
to get plenty of rest. Even after you start to feel stronger, you should not lift heavy things.(nothing over
20 pounds). Also, you should not have sex until your doctor says it’s okay. It usually takes 4 to 8
weeks to get back to a normal routine |
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